Individual provider Active NPI

Nsekenene Kolongo, M.D.

  • Internal Medicine Physician
  • Norton, VA
National Provider Identifier
1487685301
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101230785 Issued in VA
Practice address
100 15TH St NW
Norton, VA 24273-1616
Phone
(276) 439-1000
NPI assigned
Jul 6, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220744-1 NY
Internal Medicine Physician 207R00000X 220744 NY
Internal Medicine Physician 207R00000X 0101230785 VA Primary
Hospitalist Physician 208M00000X 0101230785 VA

Addresses

Primary practice location

100 15TH St NW
Norton, VA 24273-1616

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

736 Battlefield Blvd N
Chesapeake Hospitalists
Chesapeake, VA 23320-4941
Phone (757) 312-6585 ext. 6800

Other practice location 2

2800 Godwin Blvd Fl 1
Suffolk, VA 23434-8038
Phone (757) 934-4821

Other practice location 3

245 Medical Park Dr Fl 2
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 4

16000 Johnston Memorial Dr Fl 4
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 5

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other identifiers 1

IdentifierTypeStateIssuer
1487685301MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040915000436 VA Practitioner - Internal MedicinePractitioner - Hospitalist 0941277263 Reassigns benefits to 15 organizations
I20190913001405 NY Practitioner - HospitalistPractitioner - Internal Medicine 0941277263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Clyburn Physician Services LLCGroup PAC ID 9335631100, 20 clinicians

Practice addresses (Care Compare)

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-8200

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220744-1NYMDInternal Medicine Physician
0101230785VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Internal Medicine CurrentSince Apr 5, 2022 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince May 20, 2019 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Bayview Physician Services, PC Internal Medicine CurrentSince Mar 25, 2015 Accepting new patients
Vituity-Virginia Hospitalists PC Hospitalist CurrentSince Aug 1, 2022 Accepting new patients
Lake Spring Physician Services, LLC Hospitalist CurrentSince Feb 25, 2020 Accepting new patients
Wildwood Physician Services, LLC CurrentSince Oct 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Bayview Physician Services, PC CurrentSince Mar 25, 2015 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Dec 21, 2019 Accepting new patients
Clyburn Physician Services LLC Internal Medicine CurrentSince Nov 3, 2025 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Dec 21, 2019 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Sep 20, 2017 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Kingsford Physician Services, LLC Hospitalist CurrentSince Feb 17, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince May 20, 2019 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Hospitalist CurrentSince Aug 6, 2020 Accepting new patients
Ingleside Physician Services, LLC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 5, 2022 Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Arnot Medical Services PLLC Internal Medicine Past Accepting new patients
Sterling Emergency Services of Virginia Inc Past Accepting new patients
Ecs of Virginia, Inc. Past Accepting new patients
Chesapeake Hospitalists, PC Internal Medicine Past Accepting new patients

Locations (25 of 34)

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

515 Main St
Olean, NY 14760
Phone (716) 373-2600

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

16000 Johnston Memorial Dr
Fl 4
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 765-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

245 Medical Park Dr
Fl 2
Marion, VA 24354
Phone (276) 378-1000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 28

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1487685301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 15TH ST NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731616",
            "telephone_number": "276-439-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Battlefield Blvd N",
            "address_2": "Chesapeake Hospitalists",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204941",
            "country_code": "US",
            "telephone_number": "757-312-6585 x6800",
            "fax_number": "757-312-6744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Godwin Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348038",
            "country_code": "US",
            "telephone_number": "757-934-4821",
            "fax_number": "757-934-4276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLONGO",
        "first_name": "NSEKENENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220744-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220744",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230785",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101230785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487685301",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.